Current Practice and Trends of Surgical Options in Adult Umbilical Hernia Repair

Surgical Repair of Umbilical Hernia in Adults

Authors

  • Piyanun Wangkulangkul Department of Surgery, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla 90110, Thailand.
  • Thirada Naphattalung Department of Surgery, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla 90110, Thailand.
  • Siripong Chewatanagongun Department of Surgery, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla 90110, Thailand.

DOI:

https://doi.org/10.31584/psumj.2022249191

Keywords:

adult umbilical hernia, retrorectus repair, umbilical hernia

Abstract

The adult umbilical hernia is a common surgical problem, usually an acquired condition. Choosing the most suitable surgical option by tailoring for a particular patient should result in an excellent outcome. Primary suture repair of this hernia is associated with a high recurrence rate, and is therefore recommended for only small size defects. The use of surgical mesh plays a crucial role in reducing recurrences, but mesh complications still frequently occur. Currently, for high-risk for wound complications or recurrence patients or large defects, minimally invasive retrorectus repair is the preferred technique.

References

Muysoms FE, Miserez M, Berrevoet F, Campanelli G, Cham pault GG, Chelala E, et al. Classification of primary and incisional abdominal wall hernias. Hernia 2009;13:407-14.

Dalenbäck J, Andersson C, Ribokas D, Rimbäck G. Longterm follow-up after elective adult umbilical hernia repair: low recurrence rates also after non-mesh repairs. Hernia 2013; 17:493-7.

Dabbas N, Adams K, Pearson K, Royle G. Frequency of abdominal wall hernias: is classical teaching out of date? JRSM Short Rep 2011;2:5.

Shankar D, Itani K, O’Brien W, Sanchez V. Factors associated with long-term outcomes of umbilical hernia repair. JAMA Surg 2017;152.

Venclauskas L, Jokubauskas M, Zilinskas J, Zviniene K, Kiudelis M. Long-term follow-up results of umbilical hernia repair. Wideochir Inne Tech Maloinwazyjne 2017;12:350-6.

Henriksen N, Montgomery A, Kaufmann R, Berrevoet F, East B, Fischer J, et al. Guidelines for treatment of umbilical and epigastric hernias from the European Hernia Society and Americas Hernia Society: Guidelines for treatment of umbilical and epigastric hernias. Br J Surg 2020;107:171-90.

Jackson OJ, Moglen LH. Umbilical hernia. A retrospective study. Calif Med 1970;113:8-11.

Burcharth J, Pedersen MS, Pommergaard HC, Bisgaard T, Pedersen CB, Rosenberg J. The prevalence of umbilical and epigastric hernia repair: a nationwide epidemiologic study. Hernia 2015;19:815-9.

Chevrel JP. Inguinal, crural, umbilical hernias. Physiopathology, diagnosis, complications, treatment. La Revue Du Praticien 1996;46:1015-23.

Fueter T, Schäfer M, Fournier P, Bize P, Demartines N, Al lemann P. The Hernia–Neck-Ratio (HNR), a novel predictive factor for complications of umbilical hernia. World J Surg 2016;40:2084-90.

Alimi Y, Merle C, Sosin M, Mahan M, Bhanot P. Mesh and plane selection: a summary of options and outcomes. Plast Aesthet Res 2020;2020.

Skandalakis JE. Skandalakis surgical anatomy: The embryonic and anatomic basis of modern surgery. 14th ed. PMP; 2004; p1720.

Christoffersen MW, Helgstrand F, Rosenberg J, Kehlet H, Strandfelt P, Bisgaard T. Long-term recurrence and chronic pain after repair for small umbilical or epigastric hernias: a regional cohort study. Am J Surg 2015;209:725-32.

Bisgaard T, Kaufmann R, Christoffersen MW, Strandfelt P, Gluud LL. Lower risk of recurrence after mesh repair versus non-mesh sutured repair in open umbilical hernia repair: a systematic review and meta-analysis of randomized controlled trials. Scan J Surg 2019;108:187-93.

Martis JJS, Rajeshwara KV, Shridhar MK, Janardhanan D, Sudarshan S. Strangulated Richter’s Umbilical Hernia - A Case Report. Indian J Surg 2011;73:455-7.

Kaufmann R, Halm JA, Eker HH, Klitsie PJ, Nieuwenhuizen J, van Geldere D, et al. Mesh versus suture repair of umbilical hernia in adults: a randomised, double-blind, controlled, multicentre trial. Lancet 2018;391:860-9.

Christoffersen MW, Helgstrand F, Rosenberg J, Kehlet H, Bisgaard T. Lower reoperation rate for recurrence after mesh versus sutured elective repair in small umbilical and epigastric hernias. A nationwide register study. World J Surg 2013;37: 2548-52.

Nguyen MT, Berger RL, Hicks SC, Davila JA, Li LT, Kao LS, et al. Comparison of outcomes of synthetic mesh vs suture repair of elective primary ventral herniorrhaphy: a systematic review and meta-analysis. JAMA Surg 2014;149:415-21.

Berger RL, Li LT, Hicks SC, Liang MK. Suture versus pre-peritoneal polypropylene mesh for elective umbilical hernia repairs. J Surgl Res 2014;192:426-31.

Kulaçoğlu H. Current options in umbilical hernia repair in adult patients. Ulus Cerrahi Derg 2015;31:157-61.

Berger RL, Li LT, Hicks SC, Davila JA, Kao LS, Liang MK. Development and validation of a risk-stratification score for surgical site occurrence and surgical site infection after open ventral hernia repair. J Am Coll Surg 2013;217:974-82.

Holihan JL, Nguyen DH, Nguyen MT, Mo J, Kao LS, Liang MK. Mesh Location in Open Ventral Hernia Repair: A Systematic Review and Network Meta-analysis. World J Surg 2016; 40:89-99.

Appleby PW, Martin TA, Hope WW. Umbilical Hernia Repair: Overview of Approaches and Review of Literature. Surg Clin North Am 2018;98:561-76.

Sosin M, Nahabedian MY, Bhanot P. The Perfect Plane: A Systematic Review of Mesh Location and Outcomes, Update 2018. Plast Reconstr Surg 2018;142(3Suppl):S107-16.

Porrero JL, Cano-Valderrama O, Castillo MJ, Marcos A, Tejerina G, Cendrero M, et al. Importance of mesh overlap on hernia recurrence after open umbilical hernia repair with bilayer prosthesis. Am J Surg 2018;216:919-22.

Ponten JEH, Leenders BJM, Leclercq WKG, Lettinga T, Heemskerk J, Konsten JLM, et al. Mesh Versus Patch Repair for Epigastric and Umbilical Hernia (MORPHEUS Trial); One-Year Results of a Randomized Controlled Trial. World J Surg 2018;42:1312-20.

Ponten JEH, Leclercq WKG, Lettinga T, Heemskerk J, Konsten JLM, Bouvy ND, et al. Mesh OR Patch for Hernia on Epigastric and Umbilical Sites (MORPHEUS-Trial): The Complete Twoyear Follow-up. Ann Surg 2019;270:33-7.

Hajibandeh S, Hajibandeh S, Sreh A, Khan A, Subar D, Jones L. Laparoscopic versus open umbilical or paraumbilical hernia repair: a systematic review and meta-analysis. Hernia 2017;21:905-16.

Sauerland S, Walgenbach M, Habermalz B, Seiler CM, Miserez M. Laparoscopic versus open surgical techniques for ventral or incisional hernia repair. Cochrane Database Syst Rev 2011:Cd007781.

Zhang Y, Zhou H, Chai Y, Cao C, Jin K, Hu Z. Laparoscopic versus open incisional and ventral hernia repair: a systematic review and meta-analysis. World J Surg 2014;38:2233-40.

Köhler G, Luketina RR, Emmanuel K. Sutured repair of pri mary small umbilical and epigastric hernias: concomitant rectus diastasis is a significant risk factor for recurrence. World J Surg 2015;39:121-6.

Shankaran V, Weber DJ, Reed RL, 2nd, Luchette FA. A review of available prosthetics for ventral hernia repair. Ann Surg 2011;253:16-26.

Colon MJ, Kitamura R, Telem DA, Nguyen S, Divino CM. Laparoscopic umbilical hernia repair is the preferred approach in obese patients. Am J Surg 2013;205:231-6.

S.Scott Davis GD. The SAGES Manual of Hernia Surgery Springer International publishing; 2019.

Albino FP, Patel KM, Nahabedian MY, Sosin M, Attinger CE, Bhanot P. Does mesh location matter in abdominal wall reconstruction? A systematic review of the literature and a summary of recommendations. Plastic and reconstructive surgery 2013;132:1295-304.

Snyder CW, Graham LA, Gray SH, Vick CC, Hawn MT. Effect of mesh type and position on subsequent abdominal operations after incisional hernia repair. J Am Coll Surg 2011;212: 496-502;

Tse GH, Stutchfield BM, Duckworth AD, de Beaux AC, Tulloh B. Pseudo-recurrence following laparoscopic ventral and incisional hernia repair. Hernia 2010;14:583-7.

Suwa K, Okamoto T, Yanaga K. Closure versus non-closure of fascial defects in laparoscopic ventral and incisional hernia repairs: a review of the literature. Surg Today 2016;46:764-73.

Tandon A, Pathak S, Lyons NJ, Nunes QM, Daniels IR, Smart NJ. Meta-analysis of closure of the fascial defect during laparoscopic incisional and ventral hernia repair. Br J Surg 2016;103:1598-607.

Nguyen DH, Nguyen MT, Askenasy EP, Kao LS, Liang MK. Primary fascial closure with laparoscopic ventral hernia repair: systematic review. World J Surg 2014;38:3097-104.

Lambrecht JR, Vaktskjold A, Trondsen E, Øyen OM, Reiertsen O. Laparoscopic ventral hernia repair: outcomes in primary versus incisional hernias: no effect of defect closure. Hernia 2015;19:479-86.

LeBlanc K. Proper mesh overlap is a key determinant in hernia recurrence following laparoscopic ventral and incisional hernia repair. Hernia 2016;20:85-99.

Bittner R, Bingener-Casey J, Dietz U, Fabian M, Ferzli GS, Fortelny RH, et al. Guidelines for laparoscopic treatment of ventral and incisional abdominal wall hernias (International Endohernia Society (IEHS)-part 1. Surg Endosc 2014;28:2-29.

Muysoms F, Vander Mijnsbrugge G, Pletinckx P, Boldo E, Jacobs I, Michiels M, et al. Randomized clinical trial of mesh fixation with “double crown” versus “sutures and tackers” in laparoscopic ventral hernia repair. Hernia 2013;17:603-12.

Rives J, Lardennois B, Pire JC, Hibon J. Large incisional hernias. The importance of flail abdomen and of subsequent respiratory disorders. Chirurgie 1973;99:547-63.

Belyansky I, Zahiri HR, Park A. Laparoscopic Transversus Abdominis Release, a Novel Minimally Invasive Approach to Complex Abdominal Wall Reconstruction. Surg Innov 2016; 23:134-41.

Henriksen NA, Jensen KK, Muysoms F. Robot-assisted abdominal wall surgery: a systematic review of the literature and meta-analysis. Hernia 2019;23:17-27.

Donkor C, Gonzalez A, Gallas MR, Helbig M, Weinstein C, Rodriguez J. Current perspectives in robotic hernia repair. Robot Surg 2017;4:57-67.

Kudsi OY, Chang K, Bou-Ayash N, Gokcal F. A comparison of robotic mesh repair techniques for primary uncomplicated midline ventral hernias and analysis of risk factors associated with postoperative complications. Hernia 2021;25:51-9.

Olavarria OA, Bernardi K, Shah SK, Wilson TD, Wei S, Pedroza C, et al. Robotic versus laparoscopic ventral hernia repair: multicenter, blinded randomized controlled trial. BMJ 2020;370:m2457.

Radu VG. Retromuscular Approach in Ventral Hernia Repair -Endoscopic Rives-Stoppa Procedure. Chirurgia (Bucur) 2019; 114:109-14.

Penchev D, Kotashev G, Mutafchiyski V. Endoscopic enhanced-view totally extraperitoneal retromuscular approach for ventral hernia repair. Surg Endosc 2019;33:3749-56.

Lu R, Addo A, Ewart Z, Broda A, Parlacoski S, Zahiri HR, et al. Comparative review of outcomes: laparoscopic and robotic enhanced-view totally extraperitoneal (eTEP) access retrorectus repairs. Surg Endosc 2020;34:3597-605.

Reinpold W, Schroder M, Berger C, Stoltenberg W, Kockerling F. MILOS and EMILOS repair of primary umbilical and epigastric hernias. Hernia 2019;23:935-44.

Reinpold W, Schroder M, Berger C, Nehls J, Schroder A, Hukauf M, et al. Mini- or Less-open Sublay Operation (MI LOS): A New Minimally Invasive Technique for the Extra peritoneal Mesh Repair of Incisional Hernias. Ann Surg 2019; 269:748-55.

Kokotovic D, Sjølander H, Gögenur I, Helgstrand F. Watchful waiting as a treatment strategy for patients with a ventral hernia appears to be safe. Hernia 2016;20:281-7.

Birindelli A, Sartelli M, Di Saverio S, Coccolini F, Ansaloni L, van Ramshorst GH, et al. 2017 update of the WSES guide lines for emergency repair of complicated abdominal wall hernias. World J Emerg Surg 2017;12:37.

Downloads

Published

2022-01-24 — Updated on 2022-02-03

How to Cite

1.
Wangkulangkul P, Naphattalung T, Chewatanagongun S. Current Practice and Trends of Surgical Options in Adult Umbilical Hernia Repair: Surgical Repair of Umbilical Hernia in Adults. PSU Med J [Internet]. 2022 Feb. 3 [cited 2024 Dec. 22];2(1):33-42. Available from: https://he01.tci-thaijo.org/index.php/PSUMJ/article/view/249191

Issue

Section

Review Articles